Prevention and Treatment of Complications Associated with Laparoscopic Surgery for Gastric Cancer

Huang, Chang‐Ming; Zheng, Chao‐Hui

doi:10.1007/978-94-017-9873-0_9

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…Under the current social background, promoting the construction of hospital informatization provides a powerful model for carrying out multicenter research. Clinical multicenter research in the era of big data not only helps us to have a deeper understanding of human diseases, but also can guide personalized diagnosis and intelligent decision-making [ 8 ]. In data mining, association rule mining is a promising technique for finding hidden patterns in large databases.…”

Section: Introductionmentioning

confidence: 99%

Clinical Effect Analysis of Laparoscopic Surgery for Gastric Tumor under Data Mining

Huang

Guo

Yin

et al. 2021

Journal of Healthcare Engineering

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This paper mainly analyzes the feasibility of laparoscopic local gastrectomy for the treatment of benign gastric tumors, evaluating its curative effect, and the use of traditional Chinese medicine (TCM) such as Hedyotis diffusa, Radix Pseudostellariae, yi, Pinellia ternata, Ophiopogon japonicus, wood fragrance, Perilla, Scutellaria baicalensis, Yuzhu, hawthorn, Artemisia annua, chicken yellow film, nail, and turtle, and clinical symptoms of statistical analysis of data mining. A total of 86 patients with gastric benign tumor were selected as the research object and were divided into observation group and control group with 43 cases in each by the random number table method. The control group received radical gastrectomy for benign tumor under laparoscopy, while the observation group received local gastrectomy under laparoscopy. Perioperative indexes such as operative time, intraoperative blood loss, and length of hospital stay were recorded in the two groups. Serum C-reactive protein (CRP) and carcinoembryonic antigen (CEA) levels were analyzed by enzyme-linked immunosorbent assay (ELISA), and the incidence of complications was compared. Based on the clinical analysis of the drug used, the results of association significance were selected, and the top ten results were selected in order of confidence and grouped according to clinical symptoms, respectively, as follows: (1) abdominal distension: Hedyotis diffusa, Radix Pseudostellariae, Poria cocos, Huckleberry, and Coix seed; (2) dry mouth: Poria cocos, Radix Radix Pseudostellariae, Coix seed, Pinellia tuber, and Radix Ophiopogonis. The results showed that the minimum operation time in the observation group was 159.7 ± 13.07 min and the maximum was 172.57 ± 2.47 min, which was lower than that in the control group (the minimum was 172.46 ± 12.45 min and the maximum was 186.49 ± 24.32 min). The length of hospital stay (6.51 ± 1.29 days) was lower than that in the control group (7.56 ± 1.42 days) (P < 0.05). The CEA and CRP levels decreased significantly in both groups after treatment ( P < 0.05 ). However, the observation group’s CEA was (4.21 ± 1.05) mg/L and CRP was (8.46 ± 1.25) μg/L. In the control group, CEA was (4.18 ± 1.02) mg/L and CRP was (8.39 ± 1.24) μg/L. There were no significant differences ( P < 0.05 ). The incidence of complications in the observed group was 4.7% lower than 7.0% in the control group ( P < 0.05 ). Therefore, laparoscopic local gastric resection for benign gastric tumors can effectively reduce the incidence of CEA and CRP level and complications and improve the perioperative indicators, which is worth popularizing in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Clinical Effect Analysis of Laparoscopic Surgery for Gastric Tumor under Data Mining

Huang

Guo

Yin

et al. 2021

Journal of Healthcare Engineering

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“…However, the choice of alimentary tract reconstruction method following total gastrectomy depends on the postoperative recovery and long-term life quality of patients and has traditionally been the focus of clinical research [ 3 ]. Complications associated with total gastrectomy, including reflux esophagitis, anastomotic leakage, anastomotic hemorrhage, and anastomotic stenosis, are the primary factors limiting patient recovery following surgery and may even lead to unplanned repeat surgery or death [ 4 ]. There are numerous methods for reconstructing the alimentary tract after a total gastrectomy [ 5 ], and each procedure has its own advantages.…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of the efficacy of Roux-en-Y anastomosis and jejunal interposition after total gastrectomy

Liu

Zhu

et al. 2023

World J Surg Onc

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Background To compare the clinical efficacy of two alimentary tract reconstruction methods—“P”-shape jejunal interposition (PJI) and Roux-en-Y anastomosis after total gastrectomy. Method The following search phrases were utilized to search PubMed, Cochrane Library, Embase, China Academic Journals Network Full-text Database (CNKI), and Wanfang Database as of April 2022: “gastrectomy,” “Roux-en-Y,” “interposition,” “total gastrectomy,” and “jejunal interposition.” Meta-analysis of the operation time, intraoperative blood loss, complication rate, and postoperative nutritional status of patients was performed using RevMan 5.4 software. Results A total of 24 studies and 1887 patients were included in the study. Among patients who received a total gastrectomy, the operation time in the PJI group was substantially longer than that in the Roux-en-Y group (WMD = 19.77, 95% CI: 5.84–33.70, P = 0.005). The incidence of postoperative reflux esophagitis in the PJI group was considerably reduced than that in the Roux-en-Y group (OR = 0.39, 95% CI: 0.28–0.56, P < 0.01). The probability of postoperative dumping syndrome in the PJI group was significantly lower than that in the Roux-en-Y group (OR = 0.27, 95% CI: 0.17–0.43, P < 0.01), and the postoperative body mass changes were significantly lower in the PJI group than in the Roux-en-Y group (WMD = 3.94, 95% CI: 2.24–5.64, P < 0.01). The PJI group had substantially higher postoperative hemoglobin, albumin, and total protein levels than the Roux-en-Y group (WMD = 13.94, 95% CI: 7.77–19.20, P < 0.01; WMD = 3.97, 95% CI: 2.58–5.37, P < 0.01; WMD = 5.31, 95% CI: 3.45–7.16, P < 0.01). The prognostic nutritional index was higher in the PJI group than in the Roux-en-Y group (WMD = 9.25, 95% CI: 7.37–11.13, P < 0.01). Conclusion PJI is a safe and effective reconstruction method and is superior to Roux-en-Y anastomosis in the prevention and treatment of postoperative complications and postoperative nutritional recovery in patients after total gastrectomy.

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Prevention and Treatment of Complications Associated with Laparoscopic Surgery for Gastric Cancer

Cited by 2 publications

References 29 publications

Clinical Effect Analysis of Laparoscopic Surgery for Gastric Tumor under Data Mining

Clinical Effect Analysis of Laparoscopic Surgery for Gastric Tumor under Data Mining

A meta-analysis of the efficacy of Roux-en-Y anastomosis and jejunal interposition after total gastrectomy

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